Duluth, MN

St. Luke’s Volunteer Memorial Scholarship

St. Luke’s Volunteer Service Guild awardsscholarships to students pursuing a healthcare career.

Candidates for the scholarship must:

  1. Be a graduate of a Minnesota or Wisconsin high school and be a current resident of a community where St. Luke’s has a presence.

Example: Duluth/Superior, Silver Bay (Bay Area Health Center), Mountain Iron (Laurentian Medical Clinic), Ashland(Chequamegon Clinic).

  1. Be accepted and presently enrolled in one of the accredited healthcare programs listed below.
  1. Demonstrate an interest in a healthcare career.
  1. Complete one semester ofpost-secondary academic work in their accredited healthcare program before applying.
  1. Demonstrate scholastic ability with a GPA of 3.1 in their chosen field of cumulative work.
  1. Demonstrate quality of character and sensitivity to the sick.

The following schools and accredited healthcare programs qualify for this scholarship.

  1. UMD:
    College of Medicine
    College of Pharmacy
  2. Lake Superior College:
    Associate Degree in NursingRadiological Technology
    Physical Therapist AssistantRespiratory Care Practitioner
    Practical Nursing Surgical Technology
    Medical Laboratory Technician
  3. College of St. Scholastica:
    Occupational TherapyPhysical Therapy
    Registered NursePhysician’s Assistant
  4. Wisconsin Indianhead Technical College, Superior Campus:

Associate Degree in Nursing

This non-renewable scholarship must be used the year it is awarded.

Instructions & General Information

  1. Please read all information concerning St. Luke’s Volunteer Memorial Scholarship.
    The application must be typedand completed in full(do not include a resume`). Please attach an undergraduate and graduate (if applicable) unofficial transcript or cumulative record. Section 5a Personal Statement may be attached if necessary. Applications not fully completed will be disqualified.
    Application will be accepted between January 9th and March 9th, 2018. All application materials, including recommendation forms and transcipts, must be received before 4:00 p.m. on March 9th, 2018.
  2. Three recommendations must be receivedbefore 4:00 p.m. on March 9th, 2018using the appropriate forms. Recommendations must include:
  3. Onepost-secondary education instructor.
  4. One employer or volunteer director.
  5. One personal reference who can speak to your character (long-time family friend, clergy, teacher etc.)
  6. The St. Luke’s Volunteer Memorial Scholarship application is available on St. Luke’s Web Page under Volunteers.
  7. Return all application materials to:
    Volunteer Services Scholarship Committee
    St. Luke’s
    915 East 1st Street
    Duluth, MN 55805
    Or e-mail:

  8. The recipient(s) of a scholarship award will be notified in April, 2018. St. Luke’s Volunteer Service Guild Board intends to award one $1,000 scholarship to an undergraduate student, one $1,000 scholarship to a graduate level student, and one $500 scholarship to a student in a one to two year program. The award will be paid directly to the school/program in which the recipient is enrolled.

Revised January, 2018

St. Luke’s Volunteer Memorial Scholarship Application

St. Luke’s Volunteer Services Guild

Volunteer Services

915 East First Street

Duluth, Minnesota 55805

Questions: Contact Mary Matlack: 218-249-5343 or Mary.

Deadline March 9th, 2018 (must be received before 4:00 p.m.)

Section 1

General Information

All entry fields will expand as you type on the application.

Name of Applicant:

LastFirstMiddle

Address

Street Address

CityStateZip Code

Phone: day ()evening ()cell ()

Email Address

Date of Birth / /

MonthDayYear

Section 2

Education

Section 2a

Education History

High School

Entry fields will expand as you type.

Name of school

City/State of school attended

Year of graduation

Post Secondary Education

Name of school attended

City/State of school attended

Years attended (ex. 2012 - 2016)
Diploma/Degree
GPA/Rank

Detail of awards or honors received

Please attach an unofficial transcript or cumulative record.

Section 2b

Healthcare Career Education

Name of Degree/Certificate Pursuing

Name of Program

Date AcceptedStart Date Credits Completed

School

GPA: Last Semester Cumulative

Please attach an unofficial transcript or cumulative record.

Section 3

Community Service

Entry field will expand as you type.

List your most significant volunteer positions, including positions related to your health care career goals. Please include for whom you have volunteered, their location/address, completed hours and a summary of the work. Total number of hours for each position must be listed.

(Please limit to this page)

______

Section 4

Employment History

Entry fields will expand as you type.

List all employment you have had in the past three years. Attach additional sheet if needed.

Employer 1
Address/Location
Dates Employed
Position Held
Reason for Leaving

Employer 2
Address/Location
Dates Employed
Position Held
Reason for Leaving

Employer 3
Address/Location
Dates Employed
Position Held
Reason for Leaving

Employer 4
Address/Location
Dates Employed
Position Held
Reason for Leaving

Section 5

Evaluation of Healthcare Career Interest

5a

Personal Statement

Entry field will expand as you type.

Because there will be no personal interview, please type a description of yourself including healthcare career goals, personal reasons for choosing a healthcare career (200 words or less).

(Please check) All information included in this application is accurate and true. I understand all information supplied to the Scholarship Committee will be kept confidential.

(Please check) I certify that I release St. Luke’s from responsibility for photograph or video and/or interviews for publication/articles for St. Luke’s website, social media, employee and volunteer newsletters, and newspaper and radio news.

Name Date

Typed Name Serves As Signature

Section 5b

References

Entry fields will expand as you type.

Please list three references who will be writing letters of recommendation. Please include one post-secondary education instructor in the health care field, one former employer or volunteer director and one personal reference. Do not use relatives.

Name

Address

Phone ()Relationship

Name

Address

Phone () Relationship

Name

Address

Phone () Relationship

St. Luke’s Volunteer Memorial Scholarship
Section 6
Recommendation

6a

Recommendation Post-Secondary Education Instructor in Health Care Field

Applicant’s Name:

College: Department/Program:

Please rate the following characteristics of the applicant. All information will be kept confidential.

Excellent / Above Average / Average / Below Average
Quality of Work
Leadership
Integrity
Initiative
Cooperation/Attitude
Reliability
Caring/Sensitivity
Relates well to others
Emotional stability
Professional potential
Intellectual capacity

Please typea briefobservation of this applicant in the field below which may assist the Scholarship Committee in selecting a recipient.Avoid using applicant’s name in narrative.

Entry field will expand as you type.

Reference Name: Date:

Typed Name Serves As Signature

Organizationaddress:

Position: Department:

The above student is applying for the St. Luke’s Volunteer Memorial Scholarship.

Do you feel this student is qualified to receive this scholarship? yes no

Recommendation must be received at St. Luke’s before 4:00 p.m. on March 9th, 2018

St. Luke’s - Volunteer ServicesScholarship Committee - 915 East 1st StreetDuluth, MN 55805

Or e-mail to:

If we need further information, may we contact you?

Phone # email

St. Luke’s Volunteer Memorial Scholarship
Recommendation

6b

Recommendation Employer/Volunteer Director

Applicant’s Name:

College: Department/Program

Please rate the following characteristics of this applicant. All information will be kept confidential.

Excellent / Above Average / Average / Below Average
Quality of Work
Leadership
Integrity
Initiative
Cooperation/Attitude
Reliability
Caring/Sensitivity
Relates well to others
Emotional stability
Professional potential
Intellectual capacity

Please type a brief observation of this applicant which may assist the Scholarship Committee in selecting a recipient. Avoid using applicant’s name in narrative.

Entry field will expand as you type.

Positions at your organization:
Hours/dates at your organization:

Reference Name: Date:

Typed Name Serves As Signature

Position: Department:

Organization:

Address: City: State:

Do you feel this candidate is qualified to receive this scholarship? yes no

Recommendation must be received at St. Luke’s before 4:00 p.m. on March 9th, 2018

St. Luke’s - Volunteer Services Scholarship Committee - 915 East 1st Street Duluth, MN 55805

Or e-mail to:

If we need further information, may we contact you?

Phone # email

***If computer is not available,use this from and attach separate sheet with your observation***

St. Luke’s Volunteer Memorial Scholarship

Recommendation

6c

Personal Reference (not a relative)

Entry fields will expand as you type.

Applicant’s Name:

College: Department/Program:

Please type a briefobservation of this applicant’s personal characterwhich may assist the Scholarship Committee in selecting a recipient.Avoid using applicant’s name in narrative.

Length of time you have known the applicant:

Relationship to the applicant:

Name of Reference: Date:

Typed Name Serves As Reference

Address: City: State:

The above student is applying for the St. Luke’s Volunteer Memorial Scholarship.

Do you feel this candidate is qualified to receive this scholarship? yes no

Recommendation must be received at St. Luke’s before 4:00 p.m. on March 9th 2018

St. Luke’s - Volunteer Services Scholarship Committee - 915 East 1st Street Duluth, MN 55805

Or e-mail to:

If we need further information, may we contact you?

Phone# email

***If computer is not available, use this form and attach separate sheet with your observation***

1